| 제목 |
Changes in blood glucose levels in diabetic patients following variable corticosteroid injections |
| 소속 |
Kwangju Veterans hospital, Department of Rehabilitation Medicine1 |
| 저자 |
Woo-Yong Shin1*†, Bong-Yeon Lee1, Min-Ji Ahn1, Yu-Ri Choe 1, Seo-Ra Yoon1 |
Objective :
Steroid injections are used to treat a variety of pain conditions with the goal of decreasing pain. Typically
we thought that steroids injection risks increasing blood glucose levels, especially diabetic patients. The aim of this study is to quantify diabetic patients’ change in blood glucose levels after variable steroid injection
and to assess which patient-level risk factors may predict an increase more in blood glucose levels.
Subjects and method :
Twenty diabetic patients who receiving a variable steroid injection were included in this investigation. The
typical normal morning fasting glucose and most recent hemoglobin A1c (<3months), age, injection site,
variant patients’ factor was recorded for each patient. After injection, patients were contacted daily to
confirm their fasting morning glucose level for 7 days post-injection.
Results :
There was a significant increase in fasting blood glucose levels following injection limited to post-injection
days 1 and returned to near baseline levels around post-injection days 2. Higher hemoglobin A1c level and
older age was significantly correlated with a rise in fasting blood glucose level 1day following injection while fasting glucose level checked before injection did not predict correlated. There is a significant rise in fasting blood glucose level post-injection days 1 in lumbar region steroid injection than limb joint steroid injection.
Conclusion :
Patients with uncontrolled blood glucose were more likely to experience a rise in fasting glucose level on
post-injection. So we advise caution in higher HbA1c and older age patients when considering steroid
injection if glucose levels have been acutely unstable in the days preceding injection. |
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